Abstract:
PURPOSE:The purpose of our study was to evaluate obstetrical and fetal outcomes in pregnancies complicated by acute appendicitis, and to specifically evaluate the impact of peritonitis. METHODS:We conducted a population-based cohort study using the Healthcare Cost and Utilization Project-Nationwide Inpatient Sample from 2003 to 2010 to evaluate perinatal outcomes in pregnant patients with appendicitis and delivery in the same admission compared to women delivering without appendicitis. Logistic regression was used to calculate the odds ratio (OR) and corresponding 95 % confidence intervals (CIs) for variables and outcomes of interest. RESULTS:Among seven million maternities, there were 1,203 women with appendicitis who delivered in the same admission. Pregnant women with appendicitis were more likely to deliver preterm OR 2.68 (95 % CI 2.31-3.11) and had an increased risk in abruptio. Among the 27 % of patients with peritonitis, the rate of preterm birth was fourfold higher, and the caesarean section rate was almost doubled. CONCLUSIONS:Although rare, appendicitis in pregnancy is associated with adverse maternal outcomes and worsened in cases of peritonitis. Measures to decrease risk of peritonitis should be taken in order to limit associated morbidities.
journal_name
Arch Gynecol Obstetjournal_title
Archives of gynecology and obstetricsauthors
Abbasi N,Patenaude V,Abenhaim HAdoi
10.1007/s00404-014-3276-7subject
Has Abstractpub_date
2014-10-01 00:00:00pages
661-7issue
4eissn
0932-0067issn
1432-0711journal_volume
290pub_type
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,多中心研究
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abstract:PURPOSE:To evaluate maternal and neonatal outcomes at and beyond term associated with induction of labor compared to spontaneous onset of labor stratified by week of gestational age. METHODS:In this retrospective cohort study, data form 402,960 singleton pregnancies from the Austria Perinatal Registry were used to est...
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更新日期:2018-02-01 00:00:00
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更新日期:2018-10-01 00:00:00
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pub_type: 杂志文章,评审
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更新日期:2017-06-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
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journal_title:Archives of gynecology and obstetrics
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更新日期:2009-03-01 00:00:00
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pub_type: 杂志文章,评审
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/BF02417449
更新日期:1989-01-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章
doi:10.1007/s00404-018-4763-z
更新日期:2018-07-01 00:00:00
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journal_title:Archives of gynecology and obstetrics
pub_type: 杂志文章,随机对照试验
doi:10.1007/s00404-014-3228-2
更新日期:2014-09-01 00:00:00